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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1),WIS.STATUES Y"$ t, Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 2688 $ ;�. ` , - Penalty Asses. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND ` , i <br /> BELIEF,THAT ON OR ABOUT, CIRCUIT COURT OF BURNETT COUNTY $ i' TOTAL <br /> DAY OF.WEEK DATE VIOLATION TIM ❑ AM COUNTY% (TWP-VILLAGE-CITY <br /> Ir,y I I! a. X PM � . <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> te.{,,.,it, tj L MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE t/g �-yz SEX ❑ M <br /> DID UNLAWFULLY kA•, P of C - AR.- 1 s t .) "4-, <br /> OIsi,,THE ABOVE$TATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION-STATE FACTS) <br /> C l Z.C I <br /> ¢ <br /> in violation of section(s) of the ❑ Ordinance <br /> and prays that he/she may be held to answer therefore. 0 Burnett Co.ordinance adopting sec. <br /> Signature of Officer <br /> ,..,, <br /> SUBSCRIBED AND SWORN TO Before me this date 20 Title ,d..-z`• <br /> Name Title Department or Agency <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT � <br /> t� THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$-' I /s I <br /> ON�.Ts } �"" 20 it 'L'AT rill LJ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />